Knee Preservation
What is knee joint preservation?
The knee joint can get damaged due to cartilage injury, meniscal or ligament injuries and malalignment of the limb. If not treated on time then it may lead to larger damage and major surgeries. To prevent any knee joint to reach at the larger damage, knee preservation treatment play a vital role.
Options for knee joint preservation are?
- Physical therapy
- Lifestyle modification
- Intraarticular injections
- Arthroscopy procedures
- Alignment correction surgeries – High tibial Osteotomy
1. How physical therapy can help preserve the knee joint?
Following an injury to the knee joint, it leads to the weakness of the surrounding muscles and instability. This prevents people from doing their daily activities and even do their own personal work. By doing exercises, a person can strengthen his muscles around the knee joint by decrease the effect on the knee joint.
- Static Quadriceps strengthening exercises
- Stepper exercises
- Straight leg raising exercises
- Terminal extension exercises
2. How lifestyle modification can preserve knee joint?
Change in lifestyle can preserve joint health. It plays an important role in early arthritis, ligament injuries. Regular exercises can maintain the strength of the muscles around the knee joint. It helps in even distribution of the weight around the knee joint.
A healthy and balanced diet along with an adequate amount of calcium and vitamin D can maintain bones and cartilage healthy.
Bodyweight plays an important role in weight loading on the joint. Maintaining your ideal weight will reduce the weight load on the knee joint.
Avoid certain activities like sitting cross-legged, squatting on the floor can reduce the weight load on the knee joint. Certain supplements (glucosamine and chondroitin) may help in protecting the cartilage.
How an intraarticular injection can preserve knee joint?
- Intraarticular steroid injection
- Intraarticular Viscose supplement (Hyaluronic Acid) injection
- Intraarticular PRP (Platelet Rich Plasma) injection
Intraarticular steroid injection –
Corticosteroids have both anti-inflammatory and immunosuppressive effects. Indicated in acute and chronic inflammatory conditions.
Intraarticular Viscose supplement (Hyaluronic Acid) injection –
The injectable hyaluronan products that are approved by the FDA are sodium hyaluronate. Hyaluronic acid is a naturally occurring glycosaminoglycan and a component of synovial fluid ( A Liquid naturally present in knee joint) and cartilage matrix.
Synovial fluid with hyaluronic acid in normal concentration acts as a lubricant and shock absorber during joint movement. When it gets reduced it can cause damage to the cartilage of the knee joint. Giving intraarticular injection of Hyaluronic acid re-establishes the pain-free joint movement to a certain extent.
Intraarticular PRP (Platelet Rich Plasma) injection –
Platelet-rich plasma (PRP) is prepared from your Own Blood by centrifugation technique. It is very rich in platelets – four to five times higher concentration than that of normal blood. The platelets undergo degranulation to release growth factors and their by regenerates the damaged cartilage tissue.
- Arthroscopic Surgery
- Correction of Malalignment – High tibial Osteotomy
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